Manhan Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

71687 Issued in MA

Legal business name

MANHAN INTERNAL MEDICINE PC

Practice address

2 Mechanic St
Suite a
Easthampton, MA 01027-1562

Phone

(413) 529-9282

Fax

(413) 527-7526

NPI assigned

Aug 17, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Erika Suzanne Duggan, CMA

Title

Practice Administrator

Phone

(413) 529-9282

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17034/brand/1/csg/1/fhir/r4

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Albert Bigda, DO

  • Internal Medicine Physician
  • Easthampton, MA
  • NPI 1043292089
  Medicare reassignment NPD
• Elaine Skawski, NP

  • Primary Care Nurse Practitioner
  • Holyoke, MA
  • NPI 1073669255
  Medicare reassignment NPD
• April Belanger, PA-C

  • Medical Physician Assistant
  • Southampton, MA
  • NPI 1356737274
  Medicare reassignment
• Katherine Siobhan Rivest, PA-C

  • Medical Physician Assistant
  • Easthampton, MA
  • NPI 1164766226
  Medicare reassignment
• Rachel Jean Tryba, PA-C

  • Physician Assistant
  • Agawam, MA
  • NPI 1013550110
  Medicare reassignment
• Leah Carrasquillo, FNP

  • Family Nurse Practitioner
  • Southampton, MA
  • NPI 1427243039
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1043590417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MECHANIC ST",
            "address_2": "SUITE A",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271562",
            "telephone_number": "413-529-9282",
            "fax_number": "413-527-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MECHANIC ST",
            "address_2": "SUITE A",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271562",
            "telephone_number": "413-529-9282",
            "fax_number": "413-527-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHAN INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "413-529-9282",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "71687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3058581",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Moira Grace Mackey, MED
• Alison Mackinnon, LMHC
• Gabriel Lee Maldonado
• Kara Jean Maloney, MS, RD, LDN, CDE
• Jacqueline L Mandile, O.D.
• Sima Mansouri, PHARMACIST
• Shoshana Marchand, PMHNP-BC
• Zachary Marciano, MS
• Donna Ann Martin, RD
• Elizabeth Lyons Martin, MA CCCSLP

• Internal Medicine Physician in Easthampton, MA
• Providers in Easthampton, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.